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My doctor told me the patch would help correct the vision, to make it dominent, but would not strengthen the muscle. The ptosis won't go away unless corrected. I wear glasses, along with the rest of my family, but my vision is not impaired by the ptosis, I just look tired all the time, and more than randomly take drug tests because it makes me look like I'm under the influence. (Not something to brag about :-)
As for my daughter, it took almost 3 and a half weeks before she could open her eyes, and her ptosis is so extreme, she has to have surgery now to develop the vision portion of her brain. It's scary to think about, mostly because of the anaesthetic...I'm worried how it will effect her. The procedure that they are planning is called Frontalis Sling. She's having it done in Salt Lake City, UT at Primary Childrens Hospital...which also preformed my sister's (age 37), brother's (age 40) and 1 nephew's (age 17) surgery. As for what causes it, all I have been told is that the muscle in the eyelid does not fully develope... I hope this helps, and know that it's not common, but not as un-common as people think.